情志护理联合舒缓疗护对临终患者的心理干预.docx

情志护理联合舒缓疗护对临终患者的心理干预摘要：目的评价中医情志护理联合舒缓疗护的常规护理对临终患者的心理干预的疗效，为中医护理改善临终患者心理状况提供依据。方法选取2013年1月～2014年6月本中心舒缓疗护病区收治的96例患者设为干预组,长征舒缓疗护病区收治的96例患者设为对照组。对照组实施舒缓疗护常规护理指导，干预组实施情志护理联合舒缓疗护常规护理，疗程均为两周。干预前，干预后采用SAS焦虑量表、SDS抑郁量表评价临终患者抑郁、焦虑症状。结果:干预2周后干预组患者SAS显著低于对照组（P＜0.01），干预组患者SDS显著低于对照组（P＜0.01）。结论：中医情志护理联合舒缓疗护常规护理可明显改善患者焦虑抑郁状况，从而改善临终患者的生活质量，有助提高临终患者生存质量。关键词：中医情志护理；心理干预；临终关怀；生存质量PsychologicalInterventionontheDyingPatientsthroughaCombinationofTCM'sEmotionalNursingandPalliativeCare(PutuoDistrictShiquanStreetCommunityHealthServiceCenter，Shanghai200061,China)LiuWei-juan，MaFu-min，LuoYiAbstract：ObjectiveToevaluatethetherapeuticeffectofthepsychologicalinterventiononthedyingpatientsbyacombinationofTCM'semotionalnursingandpalliativecare,andalsotoprovidetheoreticalandpracticalbasisfortheeffectofTCM'semotionalnursingontheimprovementofthedyingpatients’psychologicalcondition.Method96patientsfromthepalliativecarewardsinourcenterwereselectedastheinterventiongroupand96patientsfromChangzhengCenterasthecontrolgroup.Thecontrolgroupadoptstheroutinepalliativenursingcare.TheinterventiongroupsadoptsacombinationofTCM'semotionalnursingandpalliativecare.Thetreatmentcourseistwoweeksforbothgroups.ThedepressionandanxietysymptomswillbeevaluatedbySelf-RatingAnxietyScale(SAS)andSelf-RatingDepressionScale(SDS)beforeandaftertheintervention.ResultAftertwoweek’sintervention,theSASoftheinterventiongroupwassignificantlylowerthanthatofthecontrolgroup(P<0.01),andtheSDSoftheinterventiongroupwasalsosignificantlylowerthanthatinthecontrolgroup(P<0.01).ConclusionThecombinationofpalliativecareandTCM'semotionalnursinghasprefecteffectontheimprovementofthedyingpatients’depressionandanxietystatusandtheirqualityoflife.Keywords:TCM’semotionalnursing;Psychologicalintervention;Palliativecare;Qualityoflife.临终患者大多经历了长时间的生理,心理折磨而感到痛苦不堪。如何提高晚期肿瘤患者的生存质量,始终是个沉重的话题,美国的一位临终关怀专家就认为“人在临死前精神上的痛苦大于肉体上的痛苦”。中医情志护理在临床心理干预上取得的良好效果是不容置疑的，但国内将中医情志护理运用于临终患者心理干预的研究较少。本研究通过中医情志护理联合舒缓疗护对临终患者进行心理干预,缓解患者抑郁、焦虑的心理状态，以提高此类病人生存质量。本次对192例临终患者进行分组，分别实施中医情志护理联合舒缓疗护常规